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Framing action to reduce health inequalities: what is argued for through use of the ‘upstream–downstream’ metaphor?
Author(s) -
Naoimh E. McMahon
Publication year - 2021
Publication title -
journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.916
H-Index - 82
eISSN - 1741-3850
pISSN - 1741-3842
DOI - 10.1093/pubmed/fdab157
Subject(s) - metaphor , framing (construction) , downstream (manufacturing) , upstream (networking) , action (physics) , epistemology , sociology , public health , inequality , public relations , political science , computer science , medicine , business , marketing , engineering , computer network , mathematical analysis , philosophy , linguistics , nursing , mathematics , structural engineering , physics , quantum mechanics
Public health insights struggle to compete with dominant ideas which frame health inequalities as a problem of individual behaviour. There is consequently a need to critically reflect upon and question the effectiveness of different strategies for framing and communicating key insights. Taking the example of the 'upstream-downstream' metaphor, this literature review contributes to a necessary first step by asking what exactly is being argued for through its use.

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